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1770076051
ALEXANDRIA MARIE ERVIN
YUKON, OK
NPI
1770076051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2940)
Enumeration Date
2018-06-11
Last Update Date
2024-07-03
Business Address
ALEXANDRIA MARIE ERVIN PA
301 S MUSTANG RD
YUKON, OK 73099-6704
Phone number: 405-324-1911
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Mailing Address
ALEXANDRIA MARIE ERVIN PA
19453 VISTA AVE
EDMOND, OK 73012-3528
Phone number: 918-955-0834
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